Melrose Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

MELROSE CENTER

Practice address

421 Maiden LN Ste 207
Fayetteville, NC 28301-5055

Phone

(910) 536-2253

NPI assigned

Dec 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Melody Rose Johnson

Title

Ceo

Phone

(910) 536-2253

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230336000000",
    "number": "1710122114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MAIDEN LN",
            "address_2": "SUITE 207",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015055",
            "telephone_number": "910-536-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MAIDEN LN STE 207",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015055",
            "telephone_number": "910-536-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-14",
        "last_updated": "2008-12-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-536-2253",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen M Melendez-Montes
• Anya Stephanie Melesciuc, MS, CCC-SLP
• Lidya Admassu Melesse, CRNA
• Ofelia Marie Melley, M.D.
• Melody Massage, LLC (Melody Massage)
• Gwenesta Barnum Melton, M.D.
• Kenneth Melton, M.D.
• Krista S Melton, MSW,LCSW-A
• Morton Meltzer, M.D.
• Charlene Yvette Melvin-Shaw, MS, LCMHC-A, NCC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.